Individual provider Active NPI

Lyndsy Holman Johnston, D.C.

  • Chiropractor
  • Monticello, GA
National Provider Identifier
1205175197
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009087 Issued in GA
Practice address
972 College St
Monticello, GA 31064-2107
Phone
(706) 468-6500
NPI assigned
Feb 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009087 GA Primary

Addresses

Primary practice location

972 College St
Monticello, GA 31064-2107

Mailing address

PO Box 166
Monticello, GA 31064-0166
Phone (770) 823-8563

Other practice location 1

111 W Washington St
Monticello, GA 31064-1239
Phone (706) 468-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130430000660 GA Practitioner - Chiropractic 3072750504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

972 College St
Monticello, GA 31064-2107
Phone (706) 468-6500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Clinic of Chiropractic Chiropractor CurrentSince Mar 4, 2013 Accepting new patients
Griswold Chiropractic Chiropractor Past Accepting new patients
Jasper Health Services Inc. PastSince Dec 20, 2019 Accepting new patients

Locations

111 W Washington St
Monticello, GA 31064
Phone (706) 468-6500

972 College St
Monticello, GA 31064
Phone (706) 468-6500

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jasper Memorial HospitalMonticello, GA, CCN 111303 Hospital Corporate Director Dec 20, 2019
Jasper Memorial HospitalMonticello, GA, CCN 11Z303 Hospital Corporate Director Dec 20, 2019
The RetreatMonticello, GA, CCN 115675 Skilled nursing facility Corporate Director
Trustee of the SNF
Dec 20, 2019
Dec 20, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747526400000",
    "number": "1205175197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310640166",
            "telephone_number": "770-823-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 COLLEGE ST",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310642107",
            "telephone_number": "706-468-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "GA",
            "postal_code": "310641239",
            "country_code": "US",
            "telephone_number": "706-468-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "LYNDSY",
        "middle_name": "HOLMAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, GA

Sources for this page

Verify at the official NPI Registry.